1032 - Our Journey through the Revenue Cycle 6.1 - Henry Mayo Newhall Hospital
This presentation is designed to share our experience with the planning, design and build of a MEDITECH 6.1 Ready implementation related to the Revenue Cycle path. The goal is to provide healthcare facilities moving towards 6.1; considering a move to 6.1; or already LIVE with 6.1 with information and tools through our design and build that can enhance your facilityâ€™s approach. Through collaboration with our partnerâ€™s, Henry Mayo Newhall Hospital (HMNH) is implementing MEDITECH Client Server to 6.1.6 with recommended Best Practices, One Query Theory model, and standardization.
The objectives are to share details with our peers of HMNHâ€™s â€œJourneyâ€ through the process of designing and building an enhanced system to â€œcreate the ideal experience for our patients, our employees, our partners and our communityâ€. Through a best practice approach, collaboration, lessons learned and workflow review, the system can be designed to optimize the revenue cycle experience and reduce the third-party applications. Below are a few key areas we will focus on:
Harriet Winkle is currently the Director for Patient Access and Business Services for Henry Mayo Newhall Hospital, in Valencia Ca. Since college, her entire career of 30+ years has been associated with hospitals, beginning as a file clerk and working her way through most of the revenue cycle positions. She has been in leadership for 20+ years with a focus on achieving best practice policies always ensuring government compliance. She thoroughly enjoys the challenges healthcare revenue cycle encompasses.
Sheryl Easter is a Senior Consultant at Jacobus Consulting with over 30 yearsâ€™ experience working closely with healthcare organizations to help improve their Revenue Cycle Process; resulting in increased revenue and decreased AR Days for the facilities. Functioned in many roles including Project Manager, Senior Practice Director, Manager, Senior Consultant, and Senior Financial Analyst working in the areas of Billing/Claims, Admissions, Scheduling, Materials Management Health Information Management, Abstracting, Payroll, General Financials, and Human Resources. Education has been a key motivator, and after achieving a Masterâ€™s Degree (MBA/HCM) with a large focus on healthcare; became and educator focusing on healthcare regulations, changes and revenue cycle.
- Worklists: Worklist functionality enhances the workflow process and combined with customized patient list formats enhances the RCG experience. Standard/custom worklists are available in each of the modules and customizable which helps to streamline the daily process.
- Collection Streams: Account reps (Biller/Collectors), collection streams, events, and reminders made easier with planning/design. At HMNH, we were able to move from over a dozen Collection Groups to five Collection Streams with increased flexibility and functionality.
- Claim Setup Maintenance: Improving the claim form set-up, reducing the number of claims to maintain, optimizing for increased clean claims rates, and addressing specialized claim forms was a key goal at HMNH. Goals are being achieved with MEDITECHâ€™s consolidated claim approach.
- Enhanced Processes with 6.1: The Financial Status Desktop (Tools for Managers/End Users); Medical Necessity improvements adopt more visibility for Registration; Denial Management; and Transactions (Notes, Comments Payments) easier to view and see details, provide improvements to the process and 270-271 integration.